Given the problematic nature of attempts to reform national delivery systems for health care, the paper reviews the context and logic of reforms in the health sector. After a background on approaches to building capacity within three generations of public sector reforms, it examines the reforms applied to financing, organizing and delivering health services and suggests strategies for reform th...

This article investigates market-type reforms of the service welfare states in Sweden and Denmark. Sweden has implemented such reforms to a greater extent than Denmark. The explanation should be found in the different responses of the Social Democratic parties to the NPM agenda in general and market-type reforms in particular. In Denmark, the Social Democrats have opposed market-type reforms, w...

Background Even though there are many patient organizations across Europe, their role in impacting health policy decisions and reforms has not been well documented. In line with this, the present study endeavours to fill this gap in the international literature. To this end, it aims to validate further a previously developed instrument (the Health Democracy Index - HDI) measuring patient organi...

This paper reviews the process of agricultural policy reforms in Morocco in the 1980's, with particular emphasis on the cereals and sugar sub-sectors. Agricultural policy is reviewed in historical perspective, to show that the liberalisation process which was proposed in the framework of structural adjustment reforms ran contrary to the agricultural development strategy followed by Morocco sinc...

Since the early 1990s, Malawi has tried to undertake economic reforms, including the restructuring of the public sector, even as it embraced democratic reforms. Paucity of human and financial resources has made the process difficult and drawn out. However, towards the end of the 1990s, the reforms began to bear fruit. Notably, the efficiency of the civil service improved, while the government c...

In this review, we summarize and review reforms to the mental health service in the United Kingdom from 1999 to the present. Our analysis is based on government documents describing the reforms and providing guidelines for their implementation. In addition, we summarize prospective studies of psychosis from the first episode and early treatment studies on the basis of existing systematic review...

This paper presents a new approach for exploring the relation between the implementation of economic reforms and wage differentials. It is applied to a new high quality database that includes 18 Latin American countries. The results indicate that reforms overall have had a short-run disequalizing effect of expanding wage differentials, although this effect tends to fade away over time. This dis...

In the past, IT was only marginally affected by regulatory matters. Today, however, IT is in the middle of a whirlwind of corporate governance reforms. New standards for internal controls are affecting almost every aspect of IT work. These, in turn, have significant implications on how IT is managed and on IT costs and productivity. For example, many IT organizations have been so involved in de...

One of the most significant fiscal challenges facing governments in the next few decades is the financing of retirement benefits. Due to this challenge, governments are considering a variety of social security reforms. This paper investigates the implications of different reforms for a nation’s economy and for the welfare of its citizens. Specifically, the authors explore the economic outcomes ...